Kelowna Youth Soccer Association

2010 Registration Form

 

Mail to: Box 20249, Kelowna , B.C. V1Y 9H2
Registration Phone Number: 250-762-3225

Website:  www.kelownayouthsoccer.com

Email: kysa@shaw.ca   FAX: 250-717-3225

Drop off: Eurosport #3-1771 Cooper Rd.
(corner of Cooper Rd. & Enterprise Way)


Registration must be received by January 25, 2010 . Payment may be post-dated to March 1, 2010 . All fees include a non-refundable administration fee of $10.00  CHEQUES OR MONEY ORDERS (one per family) ONLY PLEASE (No Cash) Players new to KYSA must attach a copy of their birth certificates to the registration form.

 

 
By Jan 25.
After Jan 25.

    Mini Soccer (U6-U10)           (born January 1, 2000 to December 31, 2004 )
    Divisional Soccer (U11-U18)  (born
January 1, 1992 to December 31, 1999 )
    Family Rate             (3 or more children playing for KYSA)

$125.00
$125.00
$300.00

$140.00
$140.00
$330.00

 
After January 25, 2010, fees are increased by $15 per player, as outlined above. Nobody registering after January 25th is guaranteed a place on a team. Names will be kept on a waiting list, and will be assigned to teams if and when space is available. Don't wait too long!! People have missed out in the past!!!
**New families not living in downtown/Glenmore/Dilworth areas (V1Y or V1V) will be placed on waiting lists until it is determined if space is available on our teams. Contact Okanagan Mission (764-4565) or Rutland (765-8809) youth soccer associations for registration information if you live in those areas.
________________________________________________________________________________________________________

FAMILY INFORMATION:
Family Name:_______________________________  Parent(s)/Guardian(s):______________________________
Address: _____________________________________________________   Postal Code: _________________
Home Phone: ________________________   Home Email Address: ___________________________________

PLAYER INFO:             Player #1                          Player #2                       Player #3                       Player #4
First Name: __________________________ __________________ __________________ _________________
Surname:     __________________________ __________________ __________________ _________________
Gender: (circle one)             B / G                                 B / G                               B / G                              B / G
Birthdate:           _______________________ __________________ __________________ _________________
KYSA 2009?:                   Yes / No                           Yes / No                        Yes / No                        Yes / No
School : _____________________________ __________________ __________________ _________________
Goalkeeper?                     Yes / No                           Yes / No                        Yes / No                        Yes / No
Confilicting Sports?           Yes / No                           Yes / No                        Yes / No                        Yes / No
Waitlist in Mission / Rutland?  Yes / No                      Yes / No                        Yes / No                        Yes / No


Parents: Can you help the Kelowna Youth Soccer Association? We are looking for people in the following areas: (please check)

Name of Parent/Volunteer: …………………………………………..      Phone Number: ………………

______KYSA board member
______Coach - Age group ___________
______Assistant coach - Age group__________

______Equipment/Uniforms Organization
______Tournament Volunteer
______Team/Individual Photo Organization


If both parents volunteer, please indicate clearly who is volunteering for what position above.